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SHLYAKHOV SMILEY OPTOMETRISTS INC. NPI 1144329640


NPI Information

NPI: 1144329640
Provider Name: SHLYAKHOV SMILEY OPTOMETRISTS, INC.

Doing Business As: SACRAMENTO CONTACT LENSES AND OPTOMETRY, INC.

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
701 HOWE AVE STE G48
SACRAMENTO, CA
ZIP 95825
Phone: (916) 921-8080
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SHLYAKHOV SMILEY OPTOMETRISTS, INC. is an eyewear supplier in Sacramento, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SHLYAKHOV SMILEY OPTOMETRISTS, INC. NPI is 1144329640. The provider is registered as an organization entity type.
The provider Is Doing Business As Sacramento Contact Lenses And Optometry, Inc..

The provider's business location address is:

701 HOWE AVE STE G48
SACRAMENTO, CA
ZIP 95825-604
Phone: (916) 921-8080

The provider's authorized official is Thomas P. Smiley .
The authorized official title is Secretary and has the following contact phone number (916) 921-8080.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier7061TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14449740001MEDICARE NSCCALIFORNIA
2GSD000820MEDICAIDCALIFORNIA
3BZ703AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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